Full or Reverse Tummy Tuck? (photo)

  Due to the fact that you probably already have the IMF scars from the breast reduction and you do have upper abdominal problems, you may be good candidate for reverse tummy tuck.  However, this can be a tricky procedure if the IMF is not strong enough to oppose the tension from the tummy flap.  This sometimes has to be reinforced to prevent IMF migration.  Find a plastic surgeon with ELITE credentials who performs breast lifts and tummy tucks hundreds of times a year.  Kenneth Hughes, MD Los Angeles, CA

When the lower abdominal skin is good but there is looseness in the upper part, a reverse tummy tuck might be an option. Since you already have a scar along the bottom of the breasts from the reduction, it would not add much of a new scar. It would have to be anchored to prevent the scar from pulling down.

The true reverse abdominoplasty is seldom done any more. The scar is simply too long and covers the center of the chest, where a low cut dress or swimwear might reveal the incision.

The reverse abdominoplasty done through the existing breast incisions is a weak, but occasionally helpful, technique.

Your pictures show looseness in the upper and lower abdomen, so it would be best to perform a full abdominoplasty or a modified full abdominoplasty, depending on existing incisions, umbilicus to pubis distance etc. that could be determined at the time of consultation.